60.  A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child’s face and arms. Which of the following symptoms would also indicate to the nurse that the child may have been physically abused?

42.  Which individual in the emergency department should be considered at the highest risk for completing suicide?

29.  A child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about the parents, the child reluctantly says, “My parents don’t like me. They call me stupid and say I never do anything right.” Which type of abuse is likely?

54.  The family members of a client newly diagnosed with schizophrenia state that they do not understand what has caused the illness. The nurse’s response should be based on which models? (Select all that apply.)

22.  The nurse discovers a client’s suicide note that details the time, place, and means to commit suicide. Which would be the priority nursing intervention and the rationale for this action?

24.  A college student failed two examinations. The student cried for hours and then tried to call a parent but got no answer. The student then suspended access to his social networking web site. Which suicide risk factors are present? (Select all that apply.)

55.  A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Which potentially fatal side effect will the nurse teach the client about?

6.  A newly admitted client diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The client states, “I saw two doctors talking in the hall. They were plotting to kill me.” The nurse may correctly assess this as what classic behavior?

25.  A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on what?

A client was recently admitted to the inpatient unit after a suicide attempt and has not responded to SSRIs or tricyclic antidepressants. The client asks the nurse, “Why can’t monoamine oxidase inhibitors (MAOIs) be added to what I am on now?” Which response should the nurse make?